Ganz P A
Division of Cancer Prevention and Control Research, UCLA-Jonsson Comprehensive Cancer Center 90024.
Cancer. 1994 Aug 15;74(4 Suppl):1445-52. doi: 10.1002/1097-0142(19940815)74:4+<1445::aid-cncr2820741608>3.0.co;2-#.
This article reviews the developments during the past decade that have led to a better definition and conceptualization of the term "quality of life." There is growing consensus regarding the dimensions of quality of life, along with an expansion of the number of tools appropriate for measuring quality of life in patients with cancer. Quality of life increasingly is being used as an outcome in research, especially clinical trials. However, there remain some areas of controversy, including the application of economic analyses (utility and cost-effectiveness studies) and the potential conflict between the needs of the individual versus society. In the future, we can expect development of a theoretical framework for quality of life research. Clinicians may begin to routinely evaluate quality of life in their patients and use these evaluations as part of the clinical decision making process in individual patients. Ultimately, policy decisions also may incorporate some form of quality of life assessment.
本文回顾了过去十年间的发展情况，这些发展使得“生活质量”这一术语得到了更好的定义和概念化。人们对生活质量的维度越来越达成共识，同时适用于测量癌症患者生活质量的工具数量也在增加。生活质量越来越多地被用作研究成果，尤其是在临床试验中。然而，仍存在一些争议领域，包括经济分析（效用和成本效益研究）的应用以及个人需求与社会需求之间的潜在冲突。未来，我们有望看到生活质量研究理论框架的发展。临床医生可能会开始常规评估患者的生活质量，并将这些评估作为个体患者临床决策过程的一部分。最终，政策决策也可能会纳入某种形式的生活质量评估。
